Older Drivers with Acute or Chronic Medical Conditions (Includes Noncommercial Motor Vehicles, Excludes Commercial Drivers)

Published on 22/05/2015 by admin

Filed under Physical Medicine and Rehabilitation

Last modified 22/04/2025

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Chapter 20 Older Drivers with Acute or Chronic Medical Conditions (Includes Noncommercial Motor Vehicles, Excludes Commercial Drivers)

The primary guideline for assessing and counseling older drivers is set forth by the American Medical Association (AMA)1 in conjunction with the National Highway Traffic Safety Administration (NHTSA). Older drivers are at greater risk for fatal crashes because of their fragility. Three important areas that tend to decline in function in older drivers are (1) vision, (2) cognition, and (3) motor function.2

More than 100 medical conditions or situations identified by the AMA may affect the older driver. The largest proportion of concerns are diseases of circulation (25%), the nervous systems (15%), the eye (13%), or the musculoskeletal system (13%), or are medication related (13%).

Red flags (listed below) indicate a medical condition in need of further evaluation or management. These concerns may be observed from patient behavior, witnessed during acute events, or noted in a patient’s medical history.1 The complete list of medical concerns with detailed explanations can be found at the AMA web site (http://www.ama-assn.org/ama/pub/category/1079.html).

Additional physician driver evaluation recommendations and signs of unsafe driving from the Association for Driver Rehabilitation Specialists (ADRS), the American Geriatric Society (AGS), and the Alzheimer’s Association (AA) are also included below.

PROCEDURAL CONCERNS

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TIPS ON PREVENTING A PERSON WITH ALZHEIMER’S FROM DRIVING

Tip Source Affil
Ask a doctor to write a “do not drive” prescription AA 6 Org
Control access to car keys    
Disable the car by removing the battery or distributor cap    
Park the car in a neighbor’s driveway or on another block    
Substitute a license with a photo ID and make car inaccessible